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Centrifuge
registration check list
Mountain
Top Baptist Assembly
Church
Name: __________________________________________
Bring
this sheet completed to registration with the following items:
____
One notarized participant
form and a copy (total of 2 sheets) for each student
and adult sponsor
____
A check for balance owed made payable to MTBA
____
Are you applying the $50 MTBA credit for your WSBC church's
paid staff personnel as sponsor?
GROUP
INFORMATION:
Female
Campers: ______
Male Campers: _________
Female
Sponsors: _______
Male Sponsors: _________
Female
College Students: _______
Male College Students: ______
TOTAL
FEMALES: _____ TOTAL MALES:
_________
Broken
down by grades:
(All
campers must be age and grade appropriate.)
________
Entering 7 th & 8 th grades
________
Entering 9 th and 10 th grades
________
Entering 11 th & 12 th grades
________
College Students
________
Church Approved Sponsors
_______
TOTAL
Broken
down of t-shirt sizes:
_______
Small ______ Medium
_______ Large
_______
X-large ______ XX-large ______
XXX-large
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